South Carolina Act Early Summit Team

South Carolina Act Early Summit Team

State of the System Identification & screening Assessment and diagnostic services Provision of early services public & private Principal organizations involved & coordination among them Funding provisions

Part C Profile 0 3 population estimate for 2007: 180,052 052 Currently serving 4400 children 2.44% of 0 3 population lti (national average: 2.52%) Age 0 1 572 13.04% Age 1 2 1478 33.70% Age 2 3 2336 53.26% 39 children currently identified with ASD diagnosis 39 children currently identified with ASD diagnosis and receiving ABA services, with expenditures of $150,070 for FY 2008 2009

Part C OSEP Annual Performance Report, 2006 2007 Determinations Needs Intervention, 2 nd Year Below compliance targets on indicators for: Development of initial iti lifsp within 45 days Timely delivery of needed services Transition notification, referral and conferences General Supervision (correction and public reporting of non compliance) Family Outcomes trending downward

Part B Profile for 3 5 year olds State population children ages 3 5: 242,862 All disabilities Specific learning disabilities Speech or language impairments Mental retardation ti Emotional disturbance 10,472 68 6,513 100 x

Part B Annual Performance Report, 2006 2007 Determinations Needs Assistance Below compliance targets on indicators for: Evaluation for eligibility ibilit within 60days of consent (all ages) Percentage of children with an IEP on 3 rd birthday Development of initial IFSP Age specific information related to General Supervision unavailable

Part B Annual Performance Report, 2006 2007 Determinations Results indicators (reporting pending) Settings with typically developing peers Child outcomes Facilitation of parent involvement

Procedurally, you re not in full compliance, but you did bring home a paycheck and take out the garbage g this week.

Promising and Effective Practices Insurance Mandate for coverage of behavioral therapies for ASD diagnoses, 0 16 yrs PDD/HCB Waiver for children 3 to 11 years Service Coordination and other supports through SCAS and other non profits Non profits & others bring new opportunities for educational opportunity & awarness High levels of parent involvement & advocacy, strong relationships with PTI and PRAC Professional development efforts

Challenges and Gaps No statewide screening performed on infants and toddlers 22 month discrepancy between age of first concern (36 months) and median age of diagnosis (58 months) Long waiting lists for all ASD services and supports 16% overall cut in state budget since July 1, 2008 (as much as 25% for some agencies) 18.2% cut to DDSN

Challenges and Gaps Insufficient supply of ABA and related services providers No in state pre service training programs or educator certification/endorsement in ASD interventions Limited professional development supports to community providers (e.g., hospital personnel)

Challenges and Gaps Limited knowledge and/or use of research and/or evidence based practices Significant state agencies not represented in Summit process (although functional liaison relationships exist) Recently declining i levels l of participation i in some ABA/PBS professional development opportunities due to state tt budget cuts

Looking Toward the Future Impact of insurance mandate unclear Consequences of state tt budget cuts and service structure change not yet determined May be an opportunity to work smarter! New interconnections as a result of this summit Changes in national and state leadership Reauthorization of federal legislation